Hay- Cardiac Practice Q's Test 2

Question 1

A nurse is teaching a teen about primary HTN which statement indicates understanding?

a. treat with diuretics asap
b. congenital heart defect most common cause
c. treat with weight reduction
d. not affected by exercise

Answer 1

c. treat with weight reduction exercises

If ineffective may be an inherited disorder

Question 2

What is the treatment for primary HTN

Answer 2

beta- adrenergic blockers

Question 3

A nurse is planning care for a child with secondary HTN. The nurse plans to include which initial treatment of secondary HTN?

a. weight control
b. treat underlying disease
c. administer dig
d. admin beta adrenergic blockers

Answer 3

treat underlying disease

Question 4

D/C teaching for a child with arrythmia?

a. cpr
b. repeat dig
d. rest if dizziness occurs
e check pulse

Answer 4

cpr

report dizziness

Question 5

A nurse is assigned to care for an infant with unrepaired tetralogy of fallot. What should the nurse do first when the baby is crying and becomes severely cyanotic?

a. place knee chest position
b. admin O2
c. admin morphine sulfate
d. notify MD

Answer 5

place knee to chest position

decreases venous return so that smaller amounts of highly saturated blood reach the heart

then put child on O2

Question 6

The nurse is caring for a child with dx of rheumatic fever. what should the nurse find?

a. sore throat
b. elevated BP
c. desquamation of the fingers and toes
d. tender, warm, inflamed joints

Answer 6

d. tender warm inflamed joints

arthritis charcterized by tender warm red joints

A child can have a sore throat associated with group A beta hemolytic streptococcal infection a few weeks earlier

Question 7

What disease causes desquamation of the fingers & toes?

Answer 7

Kawasaki syndrome

Question 8

A nurse is caring for a child admitted with Kawasaki disease. which cardiac comp should the nurse monitor?
a. cardiac valvular disease
b. cardiomyopathy
d. coronary aneurysm
e. rheumatic fever

Answer 8

coronary aneurysm

Question 9

What cardiac disease can occur in rheumatic fever

Answer 9

cardiac valvular disease

Question 10

Cardiomyopathies diseases of the

Answer 10

heart muscle can occur as a result of congenital heart disease

Question 11

Which congenital heart disease causes cyanosis when NOT repaired?

a. PDA
B. Tetralogy of Fallot
C. Pulmonary atresia
D. Transposition of the great arteries

Answer 11

B. Tetralogy of Fallot
C. Pulmonary atresia
D. Transposition of the great arteries

Question 12

Tetralogy of Fallot?

Answer 12

Cyanotic lesion with decreased pulmonary blood flow.

Hypoxia can cause O2 to drop to 75-85%

Question 13

Pulmonary atresia?

Answer 13

cyanotic lesion decreased pulmonary blood flow

Hypoxia basedline 75–85%

Question 14

Transposition of the great arteries

Answer 14

cyanotic lesion

increased pulmonary blood flow

Question 15

PDA failure of the fetal shunt between the aorta and pulmonary artery to close

Answer 15

NOT cyanotic heart disease

Question 16

Prostaglandin E given to maintain patent ductal patency in children with cyanotic diseases like:

Answer 16

Pulmonary atresia
Transposition of the great arteries
Tetralogy of Fallot